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Management of Benign Biliary Stenosis and Injury pp 65–76Cite as

Biliary Manifestations of Chronic Pancreatitis

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Abstract

Common bile duct stenosis (CBDS) is a frequent local complication of chronic pancreatitis (CP) owing to compression of the common bile duct by an inflammatory mass. While endoscopic treatment is effective in the initial management of CBDS in CP and is indicated in patients with severe cholangitis, there is ample evidence that the long-term results of endoscopic treatment are poor if the CBDS has not resolved within 12 months or if parenchymal calcifications are present. Surgical therapy of CBDS in chronic pancreatitis is effective and associated with good long-term results. Surgical therapy should not only address the CBDS but also the underlying CP, especially a frequently coexisting stenosis of the pancreatic duct. Surgical options include drainage operations as well as pancreatoduodenectomy, duodenum preserving pancreatic head resection, and, in rare cases, total pancreatectomy. In patients with an inflammatory mass in the head of the pancreas a resection procedure should be performed.

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Author information

Authors and Affiliations

  1. Department of General, Visceral and Transplantation Surgery, Heidelberg University Hospital, Im Neuenheimer Feld 110, Heidelberg, 69120, Germany

    Oliver Strobel M.D., Pietro Contin M.D. & Markus W. Büchler M.D.

Authors
  1. Oliver Strobel M.D.
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  2. Pietro Contin M.D.
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  3. Markus W. Büchler M.D.
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Corresponding author

Correspondence to Markus W. Büchler M.D. .

Editor information

Editors and Affiliations

  1. Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada

    Elijah Dixon

  2. Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA

    Charles M. Vollmer Jr.

  3. Division of Gastroenterology, St. Michael's Hospital, Toronto, Ontario, Canada

    Gary R. May

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© 2015 Springer International Publishing Switzerland

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Strobel, O., Contin, P., Büchler, M.W. (2015). Biliary Manifestations of Chronic Pancreatitis. In: Dixon, E., Vollmer Jr., C., May, G. (eds) Management of Benign Biliary Stenosis and Injury. Springer, Cham. https://doi.org/10.1007/978-3-319-22273-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-22273-8_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22272-1

  • Online ISBN: 978-3-319-22273-8

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